Jade Fields

NPI #1457994873 in Hillside, Illinois

Provider Information

NPI Number: 1457994873
Entity Type: Individual
Name: Jade Fields
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 18, 2019
Last Updated: Oct 18, 2019

Practice Location

Address: 2021 S WOLF RD APT 218
City: Hillside
State: Illinois
ZIP Code: 60162-2115
Phone: (847) 306-9843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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